Signature.pdf

PDF 208 KB Posted

Attached to
Competitive Selection OH|DOT06625-1
Contract number
DOT06625-1
Issued by
Ohio

About this file

This document is a Signature Page for a procurement contract issued by the State of Ohio, Department of Transportation (ODOT), specifically through the Office of Contract Sales and Purchasing Services. The contract (Procurement # 066-25) involves Campbell Oil Company as the bidder, with authorized representative Tori Martin (Director of Aviation) executing the document. The signature page was also signed by Nathan Fling on behalf of Jack Marchbanks, Ph.D., the Director of the Ohio Department of Transportation.

The contract is for aviation fuel procurement at the Don Scott Airport, with Campbell Oil Company selected as the awarded vendor. The signature page serves as a formal acknowledgment of the contract terms and conditions, binding both parties to the procurement agreement. While specific pricing details are not provided in this document, it represents the official execution of the contract between ODOT and Campbell Oil Company for the aviation fuel supply. The document was electronically signed on 2024-07-23, with both the bidder and ODOT representatives completing their respective signature sections.

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Other files

File Type Posted
Affirmation_and_Disclosure__5_.docx DOCX document
Aviation_Fuel_PRICE_SLIDE.xlsx XLSX spreadsheet
066-25_Bid_Document.pdf PDF

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Text version

State of Ohio, Department of Transportation (ODOT) Office of Contract Sales, Purchasing Services

SIGNATURE PAGE

Procurement # 066-25

Commodity/Service: Don Scott Airport Aviation Fuel

This Signature Page, once fully executed, serves as acknowledgement to the Department that the Bidder understands and will comply with all terms, conditions, and requirements in submitting a response for the above-referenced procurement.

Furthermore, the execution of this Signature Page shall serve as acknowledgment that the Bidder is entering into a Contract with the State of Ohio, Department of Transportation and has been selected for award of the above-referenced procurement and understands it shall be bound by all terms and conditions included in this procurement.

The person signing and executing this Signature Page below acknowledges that he/she is signing on behalf of their Company in a representative capacity and hereby warrants that he/she has been duly authorized by his/her Company to submit this formal response and is authorized to execute Contracts on such Company’s behalf.

(Please execute below)

Company (Bidder) Name: ________________________________________________________

Signature: _____________________________________________________________

Print Name of Officer: ___________________________________________________________

Title of Signing Officer: __________________________________________________________

Date: _________________________________________

FOR USE BY THE OHIO DEPARTMENT OF TRANSPORTATION ONLY:

Pursuant to Section 33 of the Instructions, Terms and Conditions for Bidding, a signature below by the Director of ODOT shall serve as the Department’s formal acceptance of the bidder’s offer and will effectively form ODOT Contract between the State of Ohio, Department of Transportation and the above successful bidder (company):

Nathan Fling, Signing on behalf of Director of Transportation, Jack Marchbanks

Jack Marchbanks, Ph. D.

Director State of Ohio, Department of Transportation

2024-07-23T19:02:04+0000
Client IP: 156.63.133.8, Transaction ID: 63VCh1pKzBXIl4x7OY9551AMiNk=
OneSpan
E-SIGNED by Max Fling (nathan.fling@dot.ohio.gov), ID: 7556d9c1-7e85-48e6-ae52-562acee2bf52
YHohC0UYrUUI_6u546GLcsCo6: Director of Aviation
YHohC0UYrUUI_idfq5LtHkI46: 2024-07-23 18:28:52 UTC
YHohC0UYrUUI_VNrc2UA6e083: Campbell Oil Company
YHohC0UYrUUI_EwffX0IV3igZ: Tori Martin
2024-07-23T18:28:54+0000
Client IP: 173.95.79.54, Transaction ID: 63VCh1pKzBXIl4x7OY9551AMiNk=
OneSpan
E-SIGNED by Tori Martin (torim@campbelloilcompany.com), ID: e1130de6-7d15-4300-bfc0-98e5ba21d18f

File details come from the government source that posted it. Updated .